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Home My WebLink About0021 WATERMAN FARM ROAD _ ,.. ,. , � . s:. �. .. � . � _ - .. �r� �. .� ,.. .. 4 ', .. .. � -. _ � ��.. ,. ', �' � , 0 ,. ` 9 R' � � .. .. - .. r .. . n a w .. � . ., �. ,. � o .: �. ... p,' .. �' fT L .... -. a -. _, - "., � ' r A - S. r� �. � .. e - - � � a... w A i .. � .. 1. -. _ :. ., �� .. F � '. . .� r i .. :,. e .. e C _ „ ..� � , 3 Y. � _ ., ... r A 5 s `r .. � .k �. _ ...�. - .. �. i .�, ♦ . �'; - u w ,� ,. , r ;. i _ �.i .. i _ �.., .;. 1 � � 1. a �' .. �. �. Tt .. i ,.�,. 9' :. �.. .. .: :.'. .. v. i .. _ � �. ,, . ,� L �, .. u �J L' �. ., + .- .., e �1s a r - r. a "r •' P ,. - �: . - i .. � r. , h ,. � .. i, c r t �. � � - {{ �_ n . a. f.r ,i� ., �.r �, r ..: y �� f � '-.. .. ,.. s �. N Vie. �1 j. � � . - i , - _ .F � ., - , �; n . .. e �. . .. �. ,� � � � � . � � -. - �, - � .. ..- ,. . .q .. - �. r x: •. r , c r c x • L. r _ •r F s a a .. v a e • rot ® NO. 1521/3 BGR MADE iN U.S.A. -ESSELT Town o f Ba rnstable *Pe`rrm4�16 Expires 6 months from issue date Regulat®r Services Fee Q 7= 2D Thomas F.Geiler,Director Building Division �k �0 Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis;MA 02601 www.town.bainstable.ma.us Office: 508-862-4038 Fax: 508.790-6230 EXPRESS PEST APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address YO- esidential Value of Work ix 62, U O Minimum fee of$25.00 for work under$6000.00 h Owner's Name&Address d,,-.� Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) oz CIS 3 Construction Supervisor's License#(if applicable) RMIT 10Workman's Compensation Insurance Chedone: AUG 1 0 2009 ❑ I am a sole proprietor ❑ I am the Homeowner OWN OF SARNSTABLF 0,I have Worker's Compensation Insurance Insurance Company Name I 6- -(-_l f Workman's Comp.Policy# _ LL Copy of.Insurance Compliance Certificate must be on file. Permit Request(check box) l Z-Re-roof(stripping old shingles) All construction debris will be taken to CJV�X .Z ` ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders: U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: Q:Fomvs:expmtrg. Revise061306 i I The Commonwealth of Massachusetts ___.. Department of Industrial Accidents J Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): FA 4 ._,� l , L LG n , Address: "P City/State/Zip: C�jbj MA- da63s Phone #: 569_YO-9 v o`?129A Are you an employer?Check the appropriate box: Type of project(required): 1;,KI am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' insurance. 9. ❑ Building addition comp.[No workers' comp. insurance P• required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.❑ Plumbing repairs or additions o myself. workers' right of exemption per MGL Y � comp. 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no 13.❑ Other employees. [No workers' comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: �l�e a L Policy#or Self-ins. Lic.#: U — 0 3 q I M 555 6 — 0 � Expiration Date: Job Site Address: 1 W �a.�-v,.`. City/State/Zip: m 1�— Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cep he nd pe Ides of perjury that the information provided above is true and correct. Signature: p Date: Phone#: UD�' We 0 ' o2 ,p_g� Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: i f' I I . y ` �i �/ae-�arrvmonurea�.�t o�✓�aadac�uraeC� -' ulp�-\ Board of Building Regulations and Standards HOME IMP License or registration valid for individul use only ROVEMENT CONTRACTOR before the expiration date. 1f found return to: Registration: 112536 Board of Building Regulations and Standards E p�mti0l�'-=3%23/2011 Tr# 281021 One Ashburton Place Rm 1301 Type: D6A" Boston,Ma.02108 FRASER CONSTRUCTION C.O. ,; DEAN FRASER 3 104 TWINN VIEW LANE E FALMOUTH,MA 02536 Administrator Not re I B oarf uil in ula Aan g eg ontan ar s One Ashburton Place v Room 1301 Boston. Massachusetts 02108 Horne Improvement Contractor Registration Registration: 112536 Type: DBA FRASER CONSTRUCTION CO. Expiration: 3/23/2011 Tr# 281021 DEAN FRASER P.O. BOX 1845 COTUIT, MA 02635 Update Address and return card.Mark reason for change. Al 0 40M-08108-DBSLIFORMCA108212008 � Address Renewal E] Employment Lost Card i t= M f RightFax C2-2 10/1/2008 1 : 00:56 PM PAGE 2/002 Fax Server :;:;{:?{{'r,'?:,+.-}::ti'{'?::?i}?r.:'ti?•-rr::::{{?r,'v:is •v_?' f: :.} i?r': :{::::}{:;}_{'{i::{{: +?:{r•:ti�:• { 19SUFDATE . 10 0108 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY PRODUCER AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. WISE&QUINN INSURANCE AGENCY COMPANIES AFFORDING(COVERAGE 449 PLEASANT ST BROCKTON MA 02301 �ARNY A HARTFORD UNDERWRITERS INSURANCE CO INSURED COMPANY FRASER CONSTRUCTION LLC IbnER PO BOX 1845 COMPANYR C COTUIT MA 02635 MANY D •. :?•:•.-.:::viriri;}:{•{}:v}:•.ti�ti}%v::i}:vi:tiivv:•::'ri.?•:itii:{-}.i: COMPANY }:?-•:}:•i�:•%:'•.ry':}}'i'%:':Lrti:fr-''ssi'}}:i;{}:?}{_ti ti r�{:;{:lrr r{'r-'.;}:;}}hti}}:{?;ti lhi7ER E THIS IS TO CER=THAT THE POLICIES OFINSURANCB LISTED BELOW HAVE BEEN ISSUED TO TEE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWTTHSTANDINO ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPBCT TO WHICH THUS CERIMCATE MAY BB ISSUED OR MAY PERTAIN,THE INSURANCE APMRDBD BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS CO TYPE OF INSURANCE POLICY NUMBER POLICY POLICY LIMITS LTR EPFECI EVE DATE EXPIRATION DATE (MMIDD M/DD/YY GENERAL LIABILITY OMgERALAIUGREGATE $ PRODUC73-COMPIOPAGG. $ ❑COAOAERCIAL GENERAL LIABILITY PERSONAL&ADV.INJURY $ ❑ CLAIMS MADE ❑ OCCUR. ' ❑OWNERS&CONTRACTOR'S PROT. RACE OCCURRENCE $ FIRE DAMAGE(Any One Fire) $ MED.EXPENSE(Any one peon $ AUTOMOBILE LIABILITY CONMNED SINGLE LIMIT $ ❑ ANY AUTO ❑ ALL OWNRD (pet AUTOS P INJURY $ (Per PasoN ❑ SCHEDULED AUTOS ❑ BODILY INJURY HIRED AUTOS $ (Per AceWdm) ❑ NON-OWNED AUTOS ❑ GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY ❑ UMBRELLA FORM EACH OCCURRENCE $ ❑ OTHER THAN UMBRELLA FORM AGGREGATE $ STATUTORY LIMITS X A WORKER'S COMPENSATION EACH AGENT $500,000 AM UB- 09/26/08 09/26/09 DISEASE-POLICY LIMIT $500,000 0341M556-08 EMPLOYEWS LIABIU TY DISEASE.EACH En0LGYEE $500,000 OTHER THE PROPRISrOR IPARTNFE3/EXICU7I VE OFFICERS ARE INCLUDED. DISCI IPTION OF OPERATIONSILACATIOWIV@DCLBBJSPECIAL ITIM THE CaURRD'S MA WORKERS COMPENSATION POLICY AND ITS LZOTED OTHER STATER DWMANCE ENDORSEMENT AUTHORIZES THE PAYMHYP OF=0FFI$FOR CLAIMS MADE BYTHE INSUM"MA EMPLOYEES INSTATES OTHER THAN MA.NO AUTHORIZATION 13 GIVENTO PAY CLAIMS FOR BENEFITS IN ANY STATE MKII THAN MA IF THE INSURE HILLER,OR HAS 11013013,h MM)VRRSOUTSIDE OF MA.THIS POLICY DOES NOT PROVIDECOVERAGE FOR ANY STATI3 OTHER THAN MA. THIS REPLACES ANY PRIOR CERTIFICATE ISSURIT TO THE CURTIFLCATE HOIDIM AFFECTING WORKERS COMP COVERAGE .................... . ..... .....?.: '•t:r S'.` jSL:%tiY:S:rt•11-:5•r. S•'' :SS'S• ux-igs—g•:.Y%% :•%X{ :l•:Y�yyyytiRYr. •::S%%•...}•r. ... }' i}:•:}%%"': lM... .... ............t11•_ SASS: _SVV•:Y.SS:•.SV:N:.•_S:•�LSS:SLVLt:SWM\LWJfM�L•_V..Y{• �WA ma ]i RAS$R ENTERTE"RISES LLC SHOULD ANY OF THE ABOVE DESCRUIRD POLICIES BE CANCELLED BRFORBTHR F0 BOX 1845 ENFIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAD, COTUIT MA(i21635 ID DAYS WRITTEN NOTICE TO THE CERTIFICATE Houm NAmw TO THE LEFT, BUT FAHDRBTOMAH.SUCHNOTICESHALL INIPOSENOOBLRIATIONOR 1.JABHZ YOFANYKINDUPONTHECOMPANY ITS AGIIYL80R1 1PPATIVER A11111131102DRIM1199MATINK PAAffLA CJ4S7Z Ff.-MI.ER ::..... ;f :::::t'•:?::•i{.{4.{'r;•k{?}vYiY?. X;%C:7}:{C:{tt h'ti}%S y}S}S�•:�.''l?SSS?? S.?'-"•:l S:a:; N;L1•r :;•.v}:•?C:h}=:- Fraser Construction, T TCONSTRUCTION LLC P.O. Box 1845, Cotuit MA. 02635 M Email: fraser constructionnverizon net _ ww.fraserroofin .com FAX 1-508-428-0123 5�8-4Z8-2292 wMCL#112536 CS#97668 RE-ROOFING PROPOSAL DATE: June 26, 2009 PHONE: 508-775-2229 NAME: Richard Steinberg 203-221-7752 MAIL ADDRESS: 10 Iron Gate Hill Westport, Ct 06880 JOB ADDRESS: 21 Waterman Farm Rd Centerville, MA EMAIL: rmssteinberggoverance.com FRASER CONSTRUCTION hereby proposes to perform the following services in a neat and professional like manner and in accordance with the manufacturer's specifications and local building code. -Remove and Haul away all of the old roofing material -Re-nail all plywood sheathing as needed. Supply and Install - CERTAINTEED LANDMARK /WOODSCAPE AR 30: 30 -Year Warranty, 5 year Sure Start Protection, CLASS A FIRE RATED, ALGAE Resistant, Extra Heavy Weight, Self Sealing, Multi- Layered, Architectural Style, Fiberglass Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with a Full 10 Year Warranty against ALGAE Containment. 5 year 110 mph wind- resistance warranty with six nails in common bond area, Fraser construction includes six nails in common bond area at NO additional cost. See actual warranty for specific details and limitations. Color: PRICE- $15,980 Initial Supply and Install - CERTAINTEED LANDMARK /WOODSCAPE PREMIUM: Limited Lifetime Warranty, 10 year sure start protection, CLASS A FIRE RATED, ALGAE Resistant, Extra Heavy Weight, Self Sealing, Multi-Layered, Laminated Architectural Style, Fiberglass Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with a Full 10-year Warranty against ALGAE Containment. 10 year 110 mph wind-resistance warranty Wind warranty upgrade to 130 mph when CertainTeed starter & CertainTeed hip & ridge are used. See actual warranty for specific details and limitations. Fraser construction includes six nails in common bond area at NO additional cost. Color: PRICE- $19,270 Initial Supply and Install - CERTAINTEED LANDMARK ULTIMATE: Lifetime Warranty, 10 year sure start protection, CLASS A FIRE DATED, ALGAE Resistant, Extra Heavy Weight, Self Sealing, Multi-Layered, triple-layer thickness, Laminated Architectural Style, Fiberglass Based Asphalt Shingle with New England's Exclusive COPPER/CERAMIC Stones with a Full 15-year Warranty against ALGAE Containment. 10 year 110 mph wind-resistance warranty, Wind warranty upgrade to 130 mph when CertainTeed starter & CertainTeed hip & ridge are used. See actual warranty for specific details and limitations. Fraser construction includes six nails in common bond area at NO additional cost. Color: ya�d�- �J �� PRICE- $21,945 Initial vr� Supply & Install- CertainTeed Winter - Guard: (ice & water shield) Waterproof Underlayment System (3ft. on eves and valleys, 18" on rakes, walls, and skylights) Supply & Install- Roofer's Select Underlayment Paper (as recommended by CertainTeed) Supply & Install - Hick's Ventilated Drip Edge or 8" Aluminum Drip Edge SURRI-V & Install- Aluminum & Neoprene Soil Pipe Flashing Supply & Install-Air Vent Ridge Vent (as recommended by CertainTeed) Clean & Remove - Debris from work area daily. %4 Star Warranty Upgrade will be applied if proposal is signed and returned within 10 days. (see enclosed brochure) Remove & replace bathroom skylight Velux 306 FS/ install copper flashing as needed ,�,� Labor & material Price $950 nitia 2% Discount if paid by check immediately upon completion NO MONEY DOWN- NO Payment at the start or part way thru Payments accepted are: CASH - CHECK- MASTERCARD -VISA-AMERICAN EXPRESS * Any payments not made within 30 days of completion will be charged 1.5%for every 30 days the payment is late. Possible Extra-After the shingles are removed from the roof, we will lift one sheet of plywood to make sure that the insulation is not up against the plywood sheathing preventing ventilation from the eaves to the ridge. If it is, ventilation panels will be installed by; removing the plywood sheathing, installing the panels, turning the plywood over and then re-installing the plywood. If needed, this would be charged for as an extra at the rate of$6.00 per panel including Materials & Labor. There are 6 Panels per sheet of plywood. Possible Extra -Any rotted or otherwise deteriorated trim boards, plywood sheathing, lead flashing, or other carpentry needing replacement will be done and charged for as an extra at the rate of$60.00 per hour, plus 15% mark-up materials FRASER CONSTRUCTION Warranties the labor for 12 years FRASER CONSTRUCTION Warranties the shingles against Blow-Offs for 10 years. CERTAINTEED Warranties the shingles and labor 100% through the Sure Start Warranty duration. CERTAINTEED Warranties the shingles to be ALGAE resistant for the duration of the Sure Start Warranty depending on the shingle that was purchased. Any deviation or alteration from above specification will be executed upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays are beyond our control. Owner should carry fire, tornado and other necessary insurance upon the above work. We, if not accepted within thirty days may withdraw this proposal. FRASER CONSTRUCTION, LLC: Carries Workman's Compensation and Public Liability Insurance on the above work, certificate available upon request. DATE OF ACCEPTANCE: Homeowner Fraser C pStruction, LLC Assessor's office(1st Floor): Assessor's map and lot number . (oZ �. S'C� `T` u'° �r uG c*THE 0 Board of Health(3rd floor): INSTALLED IN COMPLIANCE N O Sewage Permit number j �� WITH TITLE 5 i ssaa9rentt Engineering Department(3rd floor): ENVIRONMENTAL CODE AND �o r4sa House number 21 TOWN REGULATIONS O 39 Definitive Plan Approved by,Planning Board 19 A APPLICATIONS PROCESSED 8:30 9:30 A.M.and 1:00-2:00 P.M.only A"RWAD N OF BARNSTABLE -�- LD.IN INSPECTOR A PLICATION FOR PERMIT TO / TYPE OF CONSTRUCTION + f 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby�ra��pplies for a permit according to the following information: Location r2'I i�1 Eli Proposed Use /eC'!�z t-_ r/V Zoning District Fire District 0 M &\ Name of Owner 44%ffg!4al Address % ��'lY7 Z�&2 awt 1! !Ja' Name of Builder Address �/(� �/'L�_ Name of Architect Address Number of Rooms A2 Foundation eo�9, 21nj Exterior C Z-�/� Roofing 1 ' Floors G'�� Interior S / L. C0 l� Heating Plumbing Fireplace '1 f' Approximate Cost Area Diagram of Lot and Building with Dimensions Fee DQef� owl OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Na C!t %/Ml3Vf Construction Supervisor's License"eo f?ee) 1 BERNARDIN, AL - w No 3 3 3 Permit o MIODEL Single .Fam ] I llin ' 21 Watp an arm Rd Location f Cente y 11 ' U v Owner Al Berna -Zin' , Type of Construction l' am - lFf1 Plot Lot _ Permit Granted January 7 , 19 94 Date of Inspection r 19 Date Completed 19 t- HOME IMPROVEMENT CONTRACTORS REGISTRATION Board Of BUildinq-. Regulations and Standards One. Ashburton Place — Room 1301 B oston, . Massachusetts O21O8 HOME .IMPROVEMENT .i:ONTRAi_TOR Registration 100134 Expiration O6/O9/94 Type — PRIVATE CORPORATION p ��'fmninean«U/a .�ra��as HOME IMPROVEMENT CONTRACTOR I Rogers 1`Iarney, Inc . Registration 190134 Fear 1 es Rogers s Type - PRIVATE CORPORATION 445 W. Barnstable Rd Expiration 86/09/94 Ostervi l l e MA 02655 Rogers & Marney, Inc. Charles Rogers �x,/ 445 W. Barnstable Rd ADMINISTRATOR Osterville MA 02655 cr t \ n r N t � i m g E � Y `t l - s i fil - n ` - _ _ ........ ... .. _ A. If E v o e+4s i o - 6 b s� 11 ,. .. � C s��l ��— —' � /I' 6 i'->• _. ? � \ _._.._ _ I �? �� II � I• y` 1 o ARGHI-TECH ASSOCIATES: architectural: design ter er place,unit 4,1550 reuse 28 � (508)77I-3900 � I. cc,tery Ile,ma 02632 fax 775-1945 - 1 . ` Y 5 > , p i t I' I . I 95� I F ia' S _, :x 4 ) ! i�i � _l;i 5t ill j�•, � ;~ .. F T' 1 n [ I ( i I c i 1 - 1 ARCH17TECH A550CIATE5 'archi.tectural ' de5lgn center place ult.4 1550 V to 28 cenurll ma 02632 - fax 775-1945 1 j ...........-- --- 6 � y If, :9 r 1 � � 1 ' E I I I I 11 i y ,j A. rh j - zAt 17 It I i I I t I, i; —t Q~0 AI;CHI-TECH A550CIATE5 architect; Ural design I ceacr pl;�c�.cni;.4.155O rc:,cr.29 (509)771-3900 ti r•.� 02552 fnx 775-1965 ,�_ i 1 # 11 . i L!� . i' . i j Y W I f I 1 f 1 7 t IP / 2 .J l g 1 i r i�h ti [A a f 5. ' h rr; f'a , 1 II In 5 lt"jy 7'I y L iF- t I 'I I E \ �y L Y p. ! { ¢. fir x r iy5 lri ft Lp�a t' t 6t` ti ri ° J1 A i t -.'7 {., £ r } y r7-.rt t�. Fir•� �nW��!ry ., --a }} h f W/ p A II)r "f 7)'"[1 ( , K. { I L W; f J',:;, y1 1 t It E-t,fi J m� _!�, 2 t:.i it 1: I .. I y S > 1 1 I E �: 1:i iL,...1� .1' I /i1 j i F �I i r i f I I . .� I 1 _ ' �- - r I!I 1 -� 1 I 1— '.I i I ri 1 I J, . ..li I �• 1.. 1 I t I. I,.F h { rl 1- I. I/ JI ,I r t'= I ,t- 7_.r*S1 ii L ,._f ` L ++jt-am I� -I I. � .! �[ r ' I 1 I'':: S I j: J "$ :.J{Pa t 7', ft r 7 1 .. 1 ./I •i I :,!I i 11 I-''r ,i II,- f It f i - `, '� 1 ( '`-} ° S.. F �} 1. .I i. -\ L. -P C II - I I � 1 I I " i-' 1. — �7.� �.--J i -,. i I .� 1. ° t i I I � � �" ..,I r-- �� I" L')1 i �'I jl r i`.� I �'.il -� C � , I l �I ' _ � � b 1 II I .'A I . I �, I � , I,�� i 14. i I I 'I y 1 - `p::l' f I. 1 YF ,S 1 M i ( 'F_ I I 1 G I I.I I t , .'� 1 I >r, t t tL ��I i1._. .. I I Ct �1 ` I ril I t Ill. it t , I 1 n I I f I a�;\� II I f lit !I T i i r+)i,— I ` }} \ I a; I_ - � i ` / I L IJ ' 1 ' y I r 0 i f :S ` ,,t j (S uy)�Ili(l,�I�r iI IIII' 1 III'll i t i /� .r LL'/' Iilil .I {{Il I:'I r 't.; ' '. t [-1..1 :IItt!I��.� �, ,, '- F il ,n,I I'll ,I ,I , , : ,. .. . ..i'a.[ I- ,-I-i ,; , C . r. , i I I I A.- i . d. \;:�-.�;�'�I Al ,.". �,lt',��,�-;,;':.;�;.. . I .1 j :I :.f 4 L�p�"q o .. I 4 t7 2 {; Ih-.f } , Ih1 .1.7 b .' I I . .� 9 I: k a } r° i . 9 4 . a . A(2CHI TECH':.A550CIATE5 .I - .e_1 e r Y - ^ 'r' t , ; ----------------- ; -a r( . i t o o-G.u r a I 'm. �d e 5 a:g -,/ ---t K•-� I , -" t centciplaie unlG 4 1550.ro to26 (508)771 3900 --___-__1_- _ _____—__ r•-i; t eentervllle ma 02632 ° .-; 1 ax 275-1945 - c li e 0 i l ! 1 � �:. f r t �6 :J r i E r'1l r 6 i 1 _ I , S. i 1 1 = ON-m-7- ARGHI-TECH A550CIATE5 arc hit 60tural deskgn center place.unit a,15�0 out:28 (508)771-3900 Centerville,roa 02G52..... .,., fax 775-1945 ' COMMONWEALTH OF MASSA.CHUSE- E DU/J::KN'T.0F I-DUSTRi 1-„ACCID.ENT-S .-�. 600 r, .SHINGTON S��-T James 130STON, 1AASSACHUSL-'I-TS 02111 j Vc--�:ss•one _ wORKERS' COMPENSATION INSURANCE AFFIDAVIT l' ROGERS & MARNEY , INC . I (l;ccnscc/perm i tree) with a principal place of business/residence ar. 445 OSTERVILLE—WEST BARNSTABLE ROAD , P 0 BOX 310 , OSTERVILLE MA 02655 (Gry/Statc/Zip) do hereby ccrz;fy, under the pains and penahies of perjury; that: I am.an-cmploycr providing ncc following workcrs' compensation coverage for my employees working on this job t AETNA LIFE & CASUALTY 06 CO23252923 CAA ]nsurancc Company Policy Numbcr � ) I am 2 sole proprictor and havc no onc working for mc. () I am a sole proprictor,gcncr21 conmaor or homcowncr(circle onc) and havc hired the eontraaors listed below who havc the following workcrs'eompc=tion insurance policies: 117zamc of Conmaor Instuaricc CompanylPolicy Number l\amc of Contractor lnsunnee CompanylPoliey Number ?rime of Conmaor lnsurancc Company/Policy Number Q 1 am a homeov.,ncr performing all the work myself NOTE Pleue be a•.:re t5at wbile Loncowaen wlso etaploy persoas to do eaainteainee,eoostrvaioo of repair work on a dwelling of not roorc tbaa three units is wbicb the bosacowacr also r<sidcs or oa the Erouads apputuoant tbcrcto arc not Ecacrall)• I considered to be cmploycrs u.adcr the Vor:-cri Coropcw2t;oa Act(GL G 152.sccz. 1(5)).appl;cat;oa by borocowacr for a IiccDsc or pernit r-:y cv;dcnec the Jq-j sums cf cr:rloycr uoder the Corkers'Coropensat;on Act_ i uaccrs can c nac a copy of tins st_tcncns wits oc forMvdcd to Ehc Dcpa::: cnt of Industrial Acodcnu'OGcc of lnsc:ance for.covcm;c verifieauon-.rttd that failure to sceur<cover--gc zs required undcr Seet;on 25A of MGL 152 cut kad to the impos;uon olstiminal peraJucs eonsist;ng of a fine of up to S1500.00 utd/or imprisonment of up to onc year and evil pcnalt;cs in the form of:Stop Vork Order a.nd a I fmc of S)00.00 a day against mc. S;-ncd this d2Y lea of , )9 ccn c/Pcrmittcc Licensor/Pcrmiaor i Assessor's map and lot number ,.;�Q .. r •/ I (�lC ��'�!/!" -�3 THE Sewage Permit number ...... �: ... (..:_f!.../ 7..:v. t24�'� / / Z BJHHSTSDLE, S House number :9./........i.................................................. rasa �p 2639. 00 �f0 YPY&. TOWN OF BARNSTABLE \ BUILDING INSPECTOR APPLICATION FOR PERMIT TOA �'�� !.................. .......................................... TYPE OF CONSTRUCTION .......;!6�� r `,,,, �P r� .f.................................................................................. - � r r' .................................� 19..7.j i' TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to �the �following information: ,�,� Location .... /Jt�i+ / �W, . ., +��. / ................... f.........., +*/� � . ...................... ... Proposed UseF' /� '�� ? Zoning District ................... .......................................Fire District ..�� %�1,�.......i.✓.>,S:tf. AIO/W..".„. Name of ..Address .. d /�u R?, #l'�... (� .............f Name of Builder 04%a fi� /..........1 .....:141.; //...?...Address .!......... rq Name of Architect It l'Nl. la` ..K. A° / t' ......Addresso f R� �'..` �� ?. !�'� �f o...... .��. ..... c Number of Rooms ............r!�......................................................Foundation ..... .�:.��:'..........�.f,�......................... Exterior .....................:i'1 ate:......................................Roofing y...................... Floors .....,1,..! {, lf ..........................................................Interior .....:,.d.., �`? ?, �?/?. ............................................ Heating ram. .........................Plumbing ..s..!..!.!?.�...`. �YAs'%Zen Fireplace ... A4....................................................................Approximate Cost ...!�`7� .......................................... Definitive Plan Approved by Planning Board -------------------_-----------19--------. Area ............ ..................:............ Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH t , ' - y I hereby agree to conform to,all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ............ B^ ..^^' ^~ ~. .~a^^~. ,,,' ~ �""-/2I�1 al~-^�~ to No ----- Permit for .................... dwelling __.. ,_____._.. /. 21 Waterman Farm Road Location --'-----------------_.. _.______..Ceoterv�lIe_.^________. Mrs. Jeanette Brown Owner ---------^------------' ',r~ of Construction ......'.. ..f r.a.m e.................... ' P| Permit Grante(- —Aug.pst...23.............19 79 Date of Inspection PERMIT REFUSED � ' � lg --------- .......... .. ----.. ....................... ___ .._ .............................. '—''-'-----^----^'^—'-----''--'--'' ^ � ------.—.-----..--..—.--...---... . � Approved . ................................................ 19 .' --------------.~--.---~—.--.— . ` ----------^----^---~—~—''~'-- / . / Assessor's map and lot number X,,.��?.,, .�.�...., y^ ��/ G'��'l- -a3 THE .. you TOE Sewage Permit number 71. House number 41................................................................ T 11��, T�p39• �� ENVMlONMENTA a 'D TOWN OF BARNSTABL '" REGULATIONS BUILDING INSPECTOR ifAPF�IICATION FOR PERMIT TO . .. ..C?Y.I.`T.'..1Q/.1rKf.... .. .... 1�H........................................... TYPE OF CONSTRUCiiON ......lee.e r q,.. ..�.................................................................................. 1 , . ;ll�2.3 I n TO THE INSPECTOR OF BUILDINGS: - 1he undersigned here applies for a permit actor to t e following i rmatio ,p /� /� G n Location ....a ...he® .A l.S.l•\• . . .J�/�...��/4.a .. f..�L' !................... ..�17 .�!.t�.��l.0 5 .............................. Q I ProposedUse ...../.)`.C° 5 .............................................................. .................................................................... Zoning District ....................f ......................................Fire District .... 1 1..S Ae..,Vil a.r.LIcSle,e.I�1.Ile Name of OwnerK....y.eAl1.C".:te:....&..0W.P....Address Name of Builder laleexsowr^Sl f/7/7E :..Address .. a].4/r... �: d4 4� .... j �7. // .... !O71 Name of Architect ..`/.1.�V1a-9.y...�.1.,....iley ��Qf�.....Address��OS• }/C. .. AQIQ�..ot/.tK.��i......��Q.(•��.5• Number of Rooms ...L.wife-0..............................................Foundation ....6f,QC:/t..... Q ././.7.�..................... Exterior ..(/..V...96W SX.�{?.��.......................................Roofing ...... /es /a+/.. ................................................ Floors .....1�V.QQ61..........................................................Interior ..... � .................................... ....... HeatingLw.zS.................................................................Plumbing ... C,(?e4j...................................... Fireplace ..... Q.....................................................................Approximate Cost ... sJ;t .Y. !..Y.......................................... Definitive Plan Approved by Planning Board -----------_____-----------19________ . Area .. ................ wr Diagram of Lot and Building with Dimensions Fee ........ ... ............................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Tow of Barnstable regarding the above construction. ///�f Name .1. ..... .... .4., r ./... . ............ Brown, Mrs. Jeanette e , 21581 alterations to No ................. Permit for .................................... dwelling A' ........................................................................... Location ......21 Waterman Farm ROF'. .......................................................... Centerville ............................................................................... Owner ........Mrs. Jeanette. . . .Brown ........................ . . .. . ...... Type of Construction frame .......................................... ..................................................................:1........... Plot ............................ Lot .....................:.......... Permit Granted ......... August 23 19 79 of Inspection ....yJ� c�..........19 Fto Completed .....................4 ..190 C x PERMIT REFUSED ............................................................. 19 ............................................................................... . ...... ..... ...................................................... ......till..... p S.=.. .............................................. G r� 1 ApprQvr.......;.:..................................... 19 .......i�..,rri............................................................... ..........:.................................................................... .r ` , I N 4 { ° i • i ui N J U cJ Q 0 • uj t _ _ Al 4^vE Sac►<� l:ft t xxiFh ttr57�wtE+y + <rif Fx;'tr�?�s Ai. c: f •klGt'i..EY•.i�-"". +'xi? kyil�1Lk�' '"R_ A �i" # y TO 7 tl IT. ~ 4.�t�. . , t Cou -�a ' - - • r - 1�t ` �t . ac. %,�E � � �f. � ' ►2x.• -- `- :��-, xt 5`z: > .& .Q� t r4'--TP D II r d :h ' ,� l 11 r � .T _ ti Ix_ _ A , { - l {1 f �r- i ., i,C ru. 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